Individual provider Active NPI

Jennifer Higgins Eller, MA CCC-SLP

  • Speech-Language Pathologist
  • North Wilkesboro, NC
National Provider Identifier
1043508880
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4579 Issued in NC
Practice address
204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971
Phone
(336) 838-2121
NPI assigned
Jul 14, 2011
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4579 NC Primary

Addresses

Primary practice location

204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971

Mailing address

201 Honeysuckle Dr
North Wilkesboro, NC 28659-8020
Phone (828) 406-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001514 NC Practitioner - Qualified Speech Language Pathologist 2668951641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971
Phone (828) 774-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4579NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Speech-Language Pathologist CurrentSince Jan 22, 2026 Accepting new patients
Appalachian Speech Pathology Associates, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

204 Old Brickyard Rd
North Wilkesboro, NC 28659
Phone (336) 262-4574

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1043508880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HONEYSUCKLE DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598020",
            "telephone_number": "828-406-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-838-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "JENNIFER",
        "middle_name": "HIGGINS",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.